| Regimental number | 3455 |
| Place of birth | North, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Miles, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Rebecca Birkhamshaw, No 2 Unity Grove, Walker Road, Harrogate, Yorkshire, England |
| Enlistment date | 10 November 1916 |
| Place of enlistment | Miles, Queensland |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Regimental number from Nominal Roll | 3435A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 12 December 1918 |
